| The Shoebox Pediatric Dentistry And Orthodontics | |
|
1789 Nw 173rd Ave Beaverton OR 97006-4817 | |
| (503) 614-1177 | |
| (503) 629-5608 |
| Full Name | The Shoebox Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1789 Nw 173rd Ave, Beaverton, Oregon |
| Authorized Official Name and Position | Richard Hsu (OWNER) |
| Authorized Official Contact | 5036141177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shoebox Pediatric Dentistry And Orthodontics 1789 Nw 173rd Ave Beaverton OR 97006-4817 Ph: (503) 614-1177 | The Shoebox Pediatric Dentistry And Orthodontics 1789 Nw 173rd Ave Beaverton OR 97006-4817 Ph: (503) 614-1177 |
| NPI Number | 1386985489 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386985489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D7667 (Oregon) | Primary |
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